Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00622 | Date 21/08/2018 |
| Token No | SM/18-19/744 21/08/2018 | Serial | 042 Last Visit: 21/08/2018 |
| Patient Name | Mrs. APARNA SAMANTA | Contact No | 9062376646 |
| Address | 4, CHOWDHURY PARA | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 134/77 mmHg | Weight | 60 KG |
| Pulse Rate | 53 / min | Height | cm BMI: inf |
| Diagnosis | |||